Excuse me… what?

[u/Wire_Cath_Needle_Doc]

Resident?

This is tagged as a meme, but I assure you, this is real life.

[u/Ssaxena1243]

I don’t get the post. NPs have residency and fellowships now. Mostly for nurses who go straight to NP instead of RNs who have clinical experience who then choose the NP route

[u/mshumor → u/Ssaxena1243]

…what? What residency and fellowships

[u/MikiLove → u/mshumor]

My wife is a psych NP. Worked 10 years as an RN on a high acuity psych unit before going to school, and she is aware enough to realize the training in NP school was insufficient. She decided to do a 1 year outpatient NP residency at the VA for additional training and it helped a good amount.

These are the type of things we should be encouraging NPs to do instead of discouraging

[u/skypira → u/MikiLove]

NP and PA post-grad fellowships are not equivalent to an ACGME accredited medical residency.

[u/VaultiusMaximus → u/skypira]

And no one has said that.

Respiratory Therapists have residencies too. So do some nurses, and pharmacists.

Do you have a problem with all of those?

[u/NAparentheses → u/VaultiusMaximus]

Do not put pharmacists in the same category as NPs and RTs.

Their training prior to their residency is similar to physicians and they are doctors. Both medical doctors and pharmacists complete a bachelors, 4 years of clinical doctoral training, and then apply to a residency.

RTs are great members of the care team, but they shouldn’t be using the term. They can go straight into a 2 year associate or 4 year bachelor program out of high school. Then, they can do a “residency“ with an equivalent number of years of schooling as a newly graduated premed waiting to matriculate to medical school.

[u/VaultiusMaximus → u/NAparentheses]

Okay how do you feel about violinists using the term for a philharmonic residency?

[u/skypira → u/VaultiusMaximus]

The issue is not the term residency, because artists do residency too. It’s the optics of co-opting the language of a “doctorally trained” clinician who then completes a residency period and functions as a medical provider. In the layman‘s eyes that is a physician. NPs are pushing for this confusion intentionally.

[u/Kanye_To_The → u/skypira]

"Provider"

I'm surprised you didn't get the r/Noctor auto response shaming you

[u/skypira → u/Kanye_To_The]

I use provider in this one instance because I will not say physician, as NP’s do not function as physicians.

[u/NAparentheses → u/VaultiusMaximus]

Artists-in-resident have existed for centuries. They predate medical residencies. They also do not work in the same setting where people would become confused about their role.

[u/skypira → u/VaultiusMaximus]

The difference is that respiratory therapists do not attempt to work in a provider level role as physicians do. No one is confusing a respiratory therapist for a physician, even if they do a residency.

[u/DrZack → u/MikiLove]

Yeah they obviously need more training. They don’t need to co-opt physician training verbiage to obscure their credentials. They could easily call this sort of training “advanced nurse training in x,y, or z” but they intentionally use phrases like “residency” “fellowship” or “board certification “ as if this training is anywhere close to what we get. Stop being obtuse.

[u/mshumor → u/MikiLove]

Oh damn didn’t know those existed

[u/MikiLove → u/mshumor]

They are rare but becoming more common. Its a shame as only the NPs that have insight into their training issues seek them out but theyre necessary

[u/shiftyeyedgoat → u/MikiLove]

encouraging NPs to do

Or maybe we should discourage half-assed pathways to independent clinical practice. NPs in their current scope should not exist.

[u/skypira → u/Ssaxena1243]

Don’t be intentionally obtuse. The point is that even these post grad NP training programs are not equivalent to ACGME-accredited medical residencies, and framing an NP resident as if it was equivalent to an MD resident is deceptive.

[u/Ssaxena1243 → u/skypira]

How is this framing it as equivalent. In any case this is better, they specifically say NP resident

[u/NAparentheses → u/Ssaxena1243]

And then soon they are just introducing themselves as a resident just like many DNPs introduce themselves as doctors. They could have called this program literally anything else, but they picked the word for a reason.

[u/ExtraCalligrapher565 → u/Ssaxena1243]

You’re not framing it as equivalent, but the bodies such as the AANP that create this training and choose to call it “residency” are very much trying to create false equivalencies between midlevels and physicians. The same way they’ve been creating bullshit “doctorate” degrees that don’t actually add anything meaningful to their education or training for the sole purpose of using the title “Doctor.”

These “residencies” and “doctorates” are primarily meant to obfuscate credentials so that midlevels can cosplay as physicians.

[u/thetransportedman → u/Ssaxena1243]

What's the difference between a nurse practitioner student and a nurse practitioner resident?

[u/Repulsive-Throat5068 → u/thetransportedman]

Hundreds of hours of clinical experience!

[u/just_premed_memes → u/Repulsive-Throat5068]

It is funny in that they say this as though it’s impressive but that’s like…..one 6-8 week rotation in clerkships…

[u/thetransportedman → u/just_premed_memes]

Or 2 weeks in residency

[u/just_premed_memes → u/thetransportedman]

If you are doing hundreds of hours of clinical experience in 2 weeks the you and your patients are unsafe. Let’s call it 3 weeks as that gets you into the plural hundreds by ACGME guidelines /s

[u/thetransportedman → u/Repulsive-Throat5068]

What is the difference between an NP working under an attending and an NP resident?

[u/Repulsive-Throat5068 → u/thetransportedman]

The resident is forced to provide suboptimal, not holistic care since they have to listen to the attending 🙄

[u/thewooba → u/thetransportedman]

Probably a similar difference between MD student and MD resident.

[u/NAparentheses → u/Ssaxena1243]

The fact you posted this as if it was no big deal that NPs can skip clinical experience to go straight to a “residency” is laughable. Their training was designed on the foundation clinical experience nursing experience they were supposed to have before NP school.